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Essay / Restoration of previous aesthetics using the template method
Dentoalveolar fracture is the most common form of trauma. Dental trauma can occur following a sporting accident, an altercation, a fall inside the house or other causes. Traumatic injuries to the teeth and their supporting tissues usually occur in children and adolescents and the damage can vary from enamel fracture to avulsion, with or without pulp damage or bone fracture. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get the original essay Anterior crown fractures are a common form of injury. An uncomplicated fracture of the crown of permanent teeth has an intense effect not only on the patient's appearance, but also on their function and speech. Treatment for dental injuries depends on the type of injury and whether the injured tooth is a primary (baby) or permanent (adult) tooth. Prompt treatment is essential for the long-term health of an injured tooth. The case report describes a novel technique for restoring an uncomplicated fractured maxillary anterior tooth in a young patient with a direct composite, which is economical and requires less chair time. Case Report: A 12-year-old boy was reported to the pediatric dentistry department for treatment of a fractured upper anterior tooth with cosmetic concern. The patient reported trauma 6 days ago due to falling to the ground while running. Physical examination revealed an Ellis Class II (uncomplicated) fracture irt 11 and an Ellis Class I fracture with 21. The teeth were asymptomatic without any associated soft or hard tissue injury to the supporting tissues and responded to the electric pulp tester indicating that the tooth was vital. Intraoral periapical radiography confirms the absence of pulpal or periapical pathosis. It was therefore planned to restore the fractured segment using the direct composite restoration technique. The preliminary impression of the upper and lower arches was made using rapid alginate(). Study models were made in dental plaster() and a simulated preparation of the lost tooth structure with modeling wax() was carried out. Once the crown was constructed, the model was duplicated using the putty impression material model. The buccal surface of the putty template was removed up to the middle third of the crown, to facilitate reconstruction of the lost tooth structure. On the vestibular side, grooves were made and unsupported enamel was removed. Clinical testing of the model was performed to ensure adequate fit. After appropriate selection of the shade of the composite material, this crown former was used to quickly restore the fractured tooth with minimal post-restoration finishing. Discussion: Trauma accompanied by a fracture of a permanent incisor is a tragic experience for the young patient and creates a psychological impact on both parents and children.1 If the injury results in the loss of tooth structure extended, it alters the child's appearance and makes him the target of teasing from his peers. Treatment goals may vary depending on the patient's age, socioeconomic status, and intraoral status at the time of treatment planning.2 There are various treatment modalities for the restoration of fractured teeth, such as composite restoration, fixed prosthesis, fracture replacement. fragment (if available) followed by supported and stump restorations.2-4 Common restorative treatments such as veneers or a..